Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 05-01-2015 , and ending 04-30-2016
Name of foundation
ORION & EMMA B HURLBUT TR
FBO MEMORIAL FD
Number and street (or P.O. box number if mail is not delivered to street address)701 MARKET STREET
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHATTANOOGA, TN37402
A Employer identification number

62-6034546
B Telephone number (see instructions)

(423) 757-4440
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$22,244,488J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 30,638 30,638  
4 Dividends and interest from securities... 428,798 428,798  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,681,239
b Gross sales price for all assets on line 6a 8,052,526
7 Capital gain net income (from Part IV, line 2)... 1,681,239
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 606 606  
12 Total. Add lines 1 through 11........ 2,141,281 2,141,281  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 30,498 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 16,700 0   16,700
c Other professional fees (attach schedule).... Click to see attachment 155,058 0   155,058
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 31,077 0   31,077
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 233,333 0   202,835
25 Contributions, gifts, grants paid....... 1,350,000 1,350,000
26 Total expenses and disbursements. Add lines 24 and 25 1,583,333 0   1,552,835
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 557,948
b Net investment income (if negative, enter -0-) 2,141,281
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 48,698 237,450 237,450
2 Savings and temporary cash investments......... 490,000 745,000 748,125
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 7,658,271 Click to see attachment7,700,896 10,512,201
c Investments—corporate bonds (attach schedule)....... 1,559,079 Click to see attachment0 0
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 8,901,013 Click to see attachment10,531,663 10,746,712
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 18,657,061 19,215,009 22,244,488
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 18,657,061 19,215,009
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 18,657,061 19,215,009
31 Total liabilities and net assets/fund balances (see instructions). 18,657,061 19,215,009
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
18,657,061
2
Enter amount from Part I, line 27a .....................
2
557,948
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
19,215,009
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
19,215,009
Form 990-PF (2015)
Form 990-PF (2015)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.) 		(b) How acquired
P—Purchase
D—Donation 		(c) Date acquired
(mo., day, yr.) 		(d) Date sold
(mo., day, yr.)
1 a 0.5491GOOGLE INC CLASS C P 2010-10-19 2015-05-19
b 150APPLE INC P 2012-12-19 2015-06-22
c 35APPLE INC P 2014-03-05 2015-06-22
d 130APPLE INC P 2013-04-24 2015-06-22
e 200GENERAL DYNAMICS CORP P 2011-05-26 2015-06-22
150GENERAL DYNAMICS CORP P 2012-07-31 2015-06-22
85GENERAL DYNAMICS CORP P 2013-04-24 2015-06-22
1200GENERAL DYNAMICS CORP P 2010-09-15 2015-06-22
725DARDEN RESTAURANTS INC P 2014-03-05 2015-06-22
25LOWES COS INC P 2013-01-10 2015-06-22
285LOWES COS INC P 2014-03-05 2015-06-22
120LOWES COS INC P 2012-07-31 2015-06-22
685NVIDIA CORP P 2012-01-11 2015-06-22
180TARGET CORP P 2014-03-05 2015-06-22
1475NABORS INDUSTRIES LTD P 2012-06-01 2015-06-22
2100NABORS INDUSTRIES LTD P 2012-06-08 2015-06-22
150NABORS INDUSTRIES LTD P 2012-07-31 2015-06-22
400NABORS INDUSTRIES LTD P 2012-12-19 2015-06-22
3900NABORS INDUSTRIES LTD P 2012-01-11 2015-06-22
580FISERV INC P 2010-10-19 2015-06-22
50BIOGEN INC P 2014-12-24 2015-06-22
340WALGREENS BOOTS ALLIANCE INC P 2014-12-24 2015-06-22
1025PAYPAL HOLDINGS INC P 2014-07-23 2015-07-21
4095PAYPAL HOLDINGS INC P 2014-03-05 2015-07-21
500000FNMA P 2011-07-08 2015-08-04
1745.81COHEN & STEERS INSTL RLTY SH P 2013-01-14 2015-08-12
11331.011COHEN & STEERS INSTL RLTY SH P 2012-06-11 2015-08-12
1924.928BROWN CAP MGMT MID CAP-INST P 2013-01-14 2015-08-12
15497.286BROWN CAP MGMT MID CAP-INST P 2012-06-11 2015-08-12
500000FNMA P 2010-08-03 2015-08-18
200000MICROSOFT CORP P 2010-10-26 2015-09-25
350APPLE INC P 2013-04-24 2015-09-25
650CISCO SYSTEMS INC P 2014-03-05 2015-09-25
30CVS HEALTH CORP P 2011-04-05 2015-09-25
645CVS HEALTH CORP P 2010-09-15 2015-09-25
675CELGENE CORP P 2013-01-10 2015-09-25
875CONSTELLATION BRANDS INC P 2012-06-08 2015-09-25
210DANAHER CORP P 2014-03-05 2015-09-25
165DANAHER CORP P 2010-10-19 2015-09-25
50GILEAD SCIENCES INC P 2011-05-12 2015-09-25
325GILEAD SCIENCES INC P 2010-09-15 2015-09-25
760DARDEN RESTAURANTS INC P 2014-03-05 2015-09-25
215DARDEN RESTAURANTS INC P 2012-12-19 2015-09-25
250FREEPORT-MCMORAN INC P 2012-01-12 2015-09-25
150FREEPORT-MCMORAN INC P 2012-02-29 2015-09-25
725FREEPORT-MCMORAN INC P 2012-06-08 2015-09-25
150FREEPORT-MCMORAN INC P 2012-07-31 2015-09-25
650FREEPORT-MCMORAN INC P 2012-12-19 2015-09-25
50FREEPORT-MCMORAN INC P 2010-09-27 2015-09-25
700FREEPORT-MCMORAN INC P 2013-04-24 2015-09-25
200FREEPORT-MCMORAN INC P 2010-09-21 2015-09-25
585FREEPORT-MCMORAN INC P 2014-03-05 2015-09-25
1500FREEPORT-MCMORAN INC P 2010-04-16 2015-09-25
90DTE ENERGY CO P 2014-03-05 2015-09-25
235DTE ENERGY CO P 2013-01-10 2015-09-25
630LOWES COS INC P 2012-07-31 2015-09-25
120LOWES COS INC P 2010-09-15 2015-09-25
100PUBLIC SERVICE ENTERPRISE GROUP INC P 2014-03-05 2015-09-25
75PUBLIC SERVICE ENTERPRISE GROUP INC P 2014-07-23 2015-09-25
650PUBLIC SERVICE ENTERPRISE GROUP INC P 2012-01-12 2015-09-25
50MCKESSON CORP P 2013-04-24 2015-09-25
1375NVIDIA CORP P 2014-07-23 2015-09-25
1950NVIDIA CORP P 2012-01-11 2015-09-25
575TYSON FOODS INC CLASS A P 2014-03-05 2015-09-25
50THERMO FISHER SCIENTIFIC INC P 2014-07-23 2015-09-25
300STERICYCLE INC P 2014-03-05 2015-09-25
550TARGET CORP P 2014-03-05 2015-09-25
555FISERV INC P 2010-10-19 2015-09-25
220FISERV INC P 2010-09-15 2015-09-25
100CF INDUSTRIES HOLDINGS INC P 2014-07-23 2015-09-25
125TRAVELERS COMPANIES INC P 2014-03-05 2015-09-25
125STANLEY BLACK & DECKER INC P 2015-06-22 2015-09-25
150ROPER TECHNOLOGIES INC P 2014-03-05 2015-09-25
75.5491GOOGLE INC CLASS C P 2011-05-26 2015-09-25
49.4509GOOGLE INC CLASS C P 2010-10-19 2015-09-25
25GOOGLE INC CLASS C P 2012-06-08 2015-09-25
50GOOGLE INC CLASS C P 2011-05-12 2015-09-25
125PERRIGO CO PLC P 2015-06-22 2015-09-25
875WALGREENS BOOTS ALLIANCE INC P 2014-12-24 2015-09-25
50ALLERGAN PLC P 2014-07-23 2015-09-25
250ALLERGAN PLC P 2013-10-01 2015-09-25
150000GEN ELEC CAP CRP P 2011-03-24 2015-11-09
301.6667FOUR CORNERS PROPERTY TRUST INC REIT P 2010-04-16 2015-11-17
666.6667FOUR CORNERS PROPERTY TRUST INC REIT P 2010-10-19 2015-11-17
78.3333FOUR CORNERS PROPERTY TRUST INC REIT P 2012-12-19 2015-11-17
83.3333FOUR CORNERS PROPERTY TRUST INC REIT P 2013-01-10 2015-11-17
7580HEWLETT PACKARD ENTERPRISE COMPANY P 2014-03-05 2015-11-17
2100HEWLETT PACKARD ENTERPRISE COMPANY P 2015-09-25 2015-11-17
24304.919AMG SOUTHERNSUN SMALL CP-I P 2012-06-11 2015-12-07
3196.931AMG SOUTHERNSUN SMALL CP-I P 2013-01-14 2015-12-07
200000BERKSHIRE HATHAWAY P 2011-01-21 2015-12-15
245000GOLDMAN SACHS BK CD P 2012-02-29 2016-03-07
760HARMAN INTERNATIONAL INDS P 2012-01-11 2016-03-15
675HARMAN INTERNATIONAL INDS P 2012-06-08 2016-03-15
100HARMAN INTERNATIONAL INDS P 2012-07-31 2016-03-15
425HARMAN INTERNATIONAL INDS P 2013-04-24 2016-03-15
550HARMAN INTERNATIONAL INDS P 2015-09-25 2016-03-15
2275OCCIDENTAL PETE CORP P 2014-03-05 2016-03-15
25OCCIDENTAL PETE CORP P 2014-07-23 2016-03-15
71OCCIDENTAL PETE CORP P 2014-12-22 2016-03-15
354OCCIDENTAL PETE CORP P 2015-06-22 2016-03-15
500OCCIDENTAL PETE CORP P 2015-09-25 2016-03-15
1000STERICYCLE INC P 2010-04-16 2016-03-15
270STERICYCLE INC P 2010-10-19 2016-03-15
65STERICYCLE INC P 2014-03-05 2016-03-15
1745CONSTELLATION BRANDS INC P 2012-06-08 2016-03-15
563.317AMERICAN BEACON S/C VA OP-Y P 2016-02-10 2016-03-28
367.431DFA REAL ESTATE SECS PORT P 2015-08-12 2016-03-28
301.714HARTFORD SMALLCAP GROWTH-I P 2014-07-28 2016-03-28
347.415MFS INTL VALUE-I P 2013-08-26 2016-03-28
549.209VOYA MIDCAP OPPORTUNITIES-I P 2013-01-14 2016-03-28
355.114OPPENHEIMER INTL GROWTH FD-Y P 2013-08-26 2016-03-28
400VICTORY SYCAMORE ESTABLISHED VALU I P 2013-01-14 2016-03-28
296.701VANGUARD M/C GROW INDEX-ADM P 2015-08-12 2016-03-28
0.9181CALIFORNIA RESOURCES CORP P 2014-07-23 2016-03-29
575ARCHER DANIELS MIDLAND CO P 2016-03-15 2016-04-20
180ALLSTATE CORP P 2011-04-05 2016-04-20
520ALLSTATE CORP P 2014-03-05 2016-04-20
110CAPITAL ONE FINL CORP P 2013-04-24 2016-04-20
140CAPITAL ONE FINL CORP P 2014-03-05 2016-04-20
480CONOCOPHILLIPS P 2010-10-19 2016-04-20
100CONOCOPHILLIPS P 2012-06-01 2016-04-20
235CONOCOPHILLIPS P 2012-06-08 2016-04-20
135CONOCOPHILLIPS P 2014-03-05 2016-04-20
212.9809CALIFORNIA RESOURCES CORP P 2014-03-05 2016-04-20
1.4224CALIFORNIA RESOURCES CORP P 2014-07-23 2016-04-20
6.6469CALIFORNIA RESOURCES CORP P 2014-12-22 2016-04-20
33.1408CALIFORNIA RESOURCES CORP P 2015-06-22 2016-04-20
46.809CALIFORNIA RESOURCES CORP P 2015-09-25 2016-04-20
925CISCO SYSTEMS INC P 2014-03-05 2016-04-20
325DEERE & CO P 2013-01-10 2016-04-20
300DANAHER CORP P 2010-10-19 2016-04-20
125DARDEN RESTAURANTS INC P 2012-12-19 2016-04-20
175DTE ENERGY CO P 2013-01-10 2016-04-20
300ECOLAB INC P 2015-09-25 2016-04-20
80EMC CORP/MASS P 2013-07-02 2016-04-20
770EMC CORP/MASS P 2014-03-05 2016-04-20
300FISERV INC P 2010-09-15 2016-04-20
25GILEAD SCIENCES INC P 2010-09-15 2016-04-20
50ALPHABET INC CL A P 2010-10-19 2016-04-20
800INTEL CORP P 2014-03-05 2016-04-20
425JP MORGAN CHASE & CO P 2014-03-05 2016-04-20
475LOWES COS INC P 2010-09-15 2016-04-20
105METLIFE INC P 2011-05-26 2016-04-20
55METLIFE INC P 2014-03-05 2016-04-20
1700MURPHY OIL CORP P 2010-04-16 2016-04-20
165MURPHY OIL CORP P 2010-10-19 2016-04-20
475MURPHY OIL CORP P 2012-03-20 2016-04-20
251MURPHY OIL CORP P 2012-06-08 2016-04-20
75MURPHY OIL CORP P 2013-04-24 2016-04-20
534MURPHY OIL CORP P 2014-03-04 2016-04-20
3600NVIDIA CORP P 2012-01-11 2016-04-20
30PUBLIC SERVICE ENTERPRISE GROUP INC P 2012-01-12 2016-04-20
420PUBLIC SERVICE ENTERPRISE GROUP INC P 2012-12-19 2016-04-20
125ROPER TECHNOLOGIES INC P 2011-03-07 2016-04-20
75ROPER TECHNOLOGIES INC P 2014-03-05 2016-04-20
990SCRIPPS NETWORKS P 2011-05-03 2016-04-20
185SCRIPPS NETWORKS P 2014-03-05 2016-04-20
250STANLEY BLACK & DECKER INC P 2015-06-22 2016-04-20
250TARGET CORP P 2014-03-05 2016-04-20
300THERMO FISHER SCIENTIFIC INC P 2012-01-12 2016-04-20
25THERMO FISHER SCIENTIFIC INC P 2014-07-23 2016-04-20
450TRAVELERS COMPANIES INC P 2014-03-05 2016-04-20
1525TYSON FOODS INC CLASS A P 2014-03-05 2016-04-20
850UNUMPROVIDENT CORP P 2010-10-19 2016-04-20
50UNION PAC CORP P 2014-03-05 2016-04-20
750VALERO ENERGY CORP P 2016-03-15 2016-04-20
595VERIZON COMMUNICATIONS P 2012-12-19 2016-04-20
55VERIZON COMMUNICATIONS P 2014-03-05 2016-04-20
100WAL MART STORES INC P 2014-03-05 2016-04-20
40METLIFE INC P 2010-09-15 2016-04-20
75MURPHY OIL CORP P 2013-04-24 2016-04-20
CAPITAL GAINS DIVIDENDS P    
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a 296   168 128
b 19,070   11,334 7,736
c 4,450   2,667 1,783
d 16,527   7,561 8,966
e 28,887   14,054 14,833
21,666   9,552 12,114
12,277   6,117 6,160
173,325   73,159 100,166
50,018   34,944 15,074
1,756   887 869
20,024   14,412 5,612
8,431   3,064 5,367
15,009   9,549 5,460
15,086   10,917 4,169
20,684   19,293 1,391
29,448   28,182 1,266
2,103   2,091 12
5,609   5,872 -263
54,689   73,289 -18,600
49,747   16,058 33,689
20,823   17,084 3,739
29,852   26,245 3,607
41,663   31,945 9,718
166,449   144,139 22,310
500,000   513,490 -13,490
81,686   75,000 6,686
530,178   477,262 52,916
50,356   40,000 10,356
405,409   283,445 121,964
500,000   500,000 0
200,000   200,799 -799
40,680   20,357 20,323
16,920   14,318 2,602
2,987   1,047 1,940
64,211   18,917 45,294
76,705   32,204 44,501
113,275   16,826 96,449
18,058   16,073 1,985
14,189   6,856 7,333
5,180   1,028 4,152
33,667   5,648 28,019
54,347   36,631 17,716
15,375   10,116 5,259
2,468   10,577 -8,109
1,481   6,592 -5,111
7,157   24,612 -17,455
1,481   5,077 -3,596
6,416   22,165 -15,749
494   2,254 -1,760
6,910   20,860 -13,950
1,974   8,927 -6,953
5,775   19,849 -14,074
14,807   61,042 -46,235
7,096   6,378 718
18,528   14,422 4,106
43,413   16,084 27,329
8,269   2,577 5,692
4,030   3,573 457
3,023   2,783 240
26,196   20,286 5,910
9,886   5,349 4,537
32,833   24,632 8,201
46,563   26,913 19,650
24,899   23,207 1,692
6,246   6,167 79
41,983   34,557 7,426
43,708   33,357 10,351
48,889   15,366 33,523
19,379   5,907 13,472
4,635   5,059 -424
12,509   10,506 2,003
12,322   13,396 -1,074
23,202   20,589 2,613
47,204   19,446 27,758
30,898   15,142 15,756
15,620   7,268 8,352
31,241   13,430 17,811
21,216   23,144 -1,928
75,883   67,543 8,340
14,442   10,961 3,481
72,211   36,003 36,208
150,000   150,000 0
6,014   4,595 1,419
13,290   9,655 3,635
1,562   1,200 362
1,661   1,231 430
99,940   119,267 -19,327
27,688   27,852 -164
530,333   477,349 52,984
69,757   75,000 -5,243
200,000   199,840 160
245,000   245,000 0
62,130   31,265 30,865
55,181   27,179 28,002
8,175   4,064 4,111
34,744   18,325 16,419
44,962   53,197 -8,235
153,455   212,827 -59,372
1,686   2,453 -767
4,789   5,745 -956
23,878   27,877 -3,999
33,726   32,709 1,017
118,055   55,769 62,286
31,875   19,524 12,351
7,674   7,487 187
249,542   33,556 215,986
12,523   11,064 1,459
12,618   11,923 695
12,527   14,579 -2,052
12,587   11,482 1,105
12,549   12,154 395
12,560   12,447 113
12,528   11,412 1,116
12,533   13,657 -1,124
1     1
22,305   21,038 1,267
12,044   5,710 6,334
34,793   28,636 6,157
8,250   6,281 1,969
10,500   10,427 73
22,771   22,118 653
4,744   5,109 -365
11,149   12,699 -1,550
6,404   8,969 -2,565
396   87 309
3   1 2
12   2 10
62   11 51
87   13 74
26,428   20,376 6,052
27,466   29,214 -1,748
28,482   12,465 16,017
7,940   5,243 2,697
15,438   10,740 4,698
34,656   33,406 1,250
2,104   1,900 204
20,252   20,782 -530
29,972   8,055 21,917
2,506   434 2,072
38,798   15,270 23,528
25,591   19,612 5,979
27,166   24,743 2,423
36,323   10,201 26,122
4,847   4,567 280
2,539   2,863 -324
53,282   87,595 -34,313
5,171   9,111 -3,940
14,888   24,029 -9,141
7,867   9,903 -2,036
2,351   4,343 -1,992
16,737   31,745 -15,008
131,438   49,281 82,157
1,401   936 465
19,614   12,990 6,624
22,323   10,566 11,757
13,394   10,294 3,100
62,937   50,867 12,070
11,761   15,105 -3,344
27,140   26,792 348
20,795   15,162 5,633
43,835   14,961 28,874
3,653   3,084 569
52,051   37,822 14,229
97,707   61,549 36,158
28,493   19,311 9,182
4,209   4,611 -402
45,158   47,865 -2,707
30,821   26,049 4,772
2,849   2,619 230
6,944   7,480 -536
1,846   1,618 228
2,351   4,343 -1,992
255,540     255,540
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a       128
b       7,736
c       1,783
d       8,966
e       14,833
      12,114
      6,160
      100,166
      15,074
      869
      5,612
      5,367
      5,460
      4,169
      1,391
      1,266
      12
      -263
      -18,600
      33,689
      3,739
      3,607
      9,718
      22,310
      -13,490
      6,686
      52,916
      10,356
      121,964
      0
      -799
      20,323
      2,602
      1,940
      45,294
      44,501
      96,449
      1,985
      7,333
      4,152
      28,019
      17,716
      5,259
      -8,109
      -5,111
      -17,455
      -3,596
      -15,749
      -1,760
      -13,950
      -6,953
      -14,074
      -46,235
      718
      4,106
      27,329
      5,692
      457
      240
      5,910
      4,537
      8,201
      19,650
      1,692
      79
      7,426
      10,351
      33,523
      13,472
      -424
      2,003
      -1,074
      2,613
      27,758
      15,756
      8,352
      17,811
      -1,928
      8,340
      3,481
      36,208
      0
      1,419
      3,635
      362
      430
      -19,327
      -164
      52,984
      -5,243
      160
      0
      30,865
      28,002
      4,111
      16,419
      -8,235
      -59,372
      -767
      -956
      -3,999
      1,017
      62,286
      12,351
      187
      215,986
      1,459
      695
      -2,052
      1,105
      395
      113
      1,116
      -1,124
      1
      1,267
      6,334
      6,157
      1,969
      73
      653
      -365
      -1,550
      -2,565
      309
      2
      10
      51
      74
      6,052
      -1,748
      16,017
      2,697
      4,698
      1,250
      204
      -530
      21,917
      2,072
      23,528
      5,979
      2,423
      26,122
      280
      -324
      -34,313
      -3,940
      -9,141
      -2,036
      -1,992
      -15,008
      82,157
      465
      6,624
      11,757
      3,100
      12,070
      -3,344
      348
      5,633
      28,874
      569
      14,229
      36,158
      9,182
      -402
      -2,707
      4,772
      230
      -536
      228
      -1,992
      255,540
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 1,681,239
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2014 1,426,479 23,489,723 0.060728
2013 1,439,196 21,964,082 0.065525
2012 721,179 19,873,603 0.036288
2011 1,167,244 19,345,332 0.060337
2010 1,100,359 19,354,715 0.056852
2
Total of line 1, column (d) .....................
20.279730
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years . . .
3
0.055946
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
22,883,442
5
Multiply line 4 by line 3......................
5
1,280,237
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
21,413
7
Add lines 5 and 6........................
7
1,301,650
8
Enter qualifying distributions from Part XII, line 4.............
8
1,552,835
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2015)
Form 990-PF (2015)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bullet and enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 21,413
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 21,413
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 21,413
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 50,192
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 50,192
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 28,779
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet28,779 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletTN
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
    Yes
     
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletFIRST TENNESSEE TRUST DEPARTMENT Telephone no.bullet (423) 757-4446

    Located atbullet701 MARKET STREETCHATTANOOGATN ZIP+4bullet37402
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    DR FRANK C KIMSEY DIRECTOR
    5.00     		16,774 0 0
    1511 CARROLL LN
    CHATTANOOGA,TN37405
    DR JOHN F BOXELL DIRECTOR
    5.00     		13,724 0 0
    100 E THIRD ST
    CHATTANOOGA,TN37403
    HAROLD G ROBERTSON DIRECTOR
    5.00     		0 0 0
    701 MARKET ST
    CHATTANOOGA,TN37402
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    FIRST TENNESSEE BANK TRUSTEE 155,058
    701 MARKET STREET
    CHATTANOOOGA,TN37402
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 PAYMENTS FOR INDIGENT CARE CANCER PATIENTS ARE APPROXIMATELY 160 NEW PATIENTS AND 1,900 VISITS IN THE PAST FISCAL YEAR 1,350,000
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    22,466,936
    b
    Average of monthly cash balances.......................
    1b
    764,985
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    23,231,921
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    23,231,921
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    348,479
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    22,883,442
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,144,172
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    1,144,172
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    21,413
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    21,413
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,122,759
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,122,759
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    1,122,759
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    1,552,835
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    1,552,835
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    21,413
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,531,422
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2014     		(c)
    2014     		(d)
    2015
    1 Distributable amount for 2015 from Part XI, line 7 1,122,759
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012......  
    d From 2013......  
    e From 2014...... 251,295
    fTotal of lines 3a through e........ 251,295
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 1,552,835
    a Applied to 2014, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2015 distributable amount..... 1,122,759
    e Remaining amount distributed out of corpus 430,076
    5 Excess distributions carryover applied to 2015. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 681,371
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		681,371
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014.... 251,295
    e Excess from 2015.... 430,076
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    KATHY WOOD
    975 EAST THIRD ST
    CHATTANOOGA,TN37403
    (423) 778-7503
    bThe form in which applications should be submitted and information and materials they should include:
    PHYSICIANS DETAILED EXPENSE VOUCHERS
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    INDIGENT CANCER PATIENTS OUTSIDE OF HAMILTON COUNTY
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    AUSTIN HATCHER FOUNDATION FOR PEDIATRIC CANCER
    6739 RINGGOLD RD SUITE G
    CHATTANOOGA,TN37415     		    DONATION 50,000
    BREAST CANCER SUPPORT SERVICES
    1400 MCCALLIE AVE
    CHATTANOOGA,TN37404     		    DONATION 75,000
    CHATTANOOGA TUMOR CLINIC
    975 EAST THIRD STREET
    CHATTANOOGA,TN37403     		    CANCER TREATMENTS 585,000
    COMMUNITY FOUNDATION OF GREATER CHATTANOOGA
    1270 MARKET STREET
    CHATTANOOGA,TN37402     		    DONATION 40,000
    ERLANGER RADIATION ONCOLOGY DEPARTMENT
    975 EAST THIRD STREET
    CHATTANOOGA,TN37403     		    DONATION 200,000
    HOSPICE OF CHATTANOOGA
    4411 OAKWOOD DRIVE
    CHATTANOOGA,TN37416     		    DONATION 200,000
    MEMORIAL HEALTH CARE SYSTEM FOUNDATION
    2525 DE SALES AVENUE
    CHATTANOOGA,TN37404     		    DONATION 75,000
    ST JUDE CHILDREN'S RESEARCH HOSPITAL
    501 ST JUDE PLACE
    MEMPHIS,TN38105     		    DONATION 25,000
    ASPIRE HEALTH PALLATIVE CARE SERVICES
    4411 OAKWOOD DRIVE
    CHATTANOOGA,TN37416     		    DONATION 100,000
    Total .................................bullet 3a 1,350,000
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		    14 30,638  
    4 Dividends and interest from securities....     14 428,798  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property     		         
    7 Other investment income.....     15 606  
    8
    Gain or (loss) from sales of assets other than inventory ............     		    18 1,681,239  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 2,141,281 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    132,141,281
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2015)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    ORION & EMMA B HURLBUT TR
     
    FBO MEMORIAL FD
    EIN:
    62-6034546
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 16,700 0   16,700

    TY 2015 GeneralExplanationAttachment
    Name:
    ORION & EMMA B HURLBUT TR
     
    FBO MEMORIAL FD
    EIN:
    62-6034546
    Identifier Return Reference Explanation
      FORM 990-PF PART VII-A LINE 12 ALL DISTRIBUTIONS FROM FUNDS CONTRIBUTED TO THE COMMUNITY FOUNDATION OF GREATER CHATTANOOGA ARE MADE IN ACCORDANCE WITH THE TAX EXEMPT PURPOSE OF THE ORION L. AND EMMA B. HURLBUT FUND FOR THE PURPOSE OF COMBATING AND TREATING CANCER AND OTHER NEOPLASTIC DISEASES. EXPENSES INCLUDE PAYMENTS TO DIRECTLY AND INDIRECTLY BENEFIT INDIGENT CANCER PATIENTS. THE BOARD DIRECTS THE PAYMENTS MADE BY THE FOUNDATION. THE DISTRIBUTION TO THE COMMUNITY FOUNDATION OF GREATER CHATTANOOGA IS A DONOR ADVISED FUND.

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    ORION & EMMA B HURLBUT TR
     
    FBO MEMORIAL FD
    EIN:
    62-6034546
    Name of Bond End of Year Book Value End of Year Fair Market Value
    BONDS 0 0

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    ORION & EMMA B HURLBUT TR
     
    FBO MEMORIAL FD
    EIN:
    62-6034546
    Name of Stock End of Year Book Value End of Year Fair Market Value
    OTHER CORPORATE STOCK 7,700,896 10,512,201

    TY 2015 InvestmentsOtherSchedule2
    Name:
    ORION & EMMA B HURLBUT TR
     
    FBO MEMORIAL FD
    EIN:
    62-6034546
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    MUTUAL FUNDS AT COST 10,531,663 10,746,712

    TY 2015 OtherIncomeSchedule2
    Name:
    ORION & EMMA B HURLBUT TR
     
    FBO MEMORIAL FD
    EIN:
    62-6034546
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    ROYALTIES 606 606 606


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    ORION & EMMA B HURLBUT TR
     
    FBO MEMORIAL FD
    EIN:
    62-6034546
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TRUSTEE FEES 155,058 0   155,058


    TY 2015 TaxesSchedule
    Name:
    ORION & EMMA B HURLBUT TR
     
    FBO MEMORIAL FD
    EIN:
    62-6034546
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL EXCISE TAXES 31,000 0   31,000
    PROPERTY TAX 77 0   77